Valentina Lyssova, DDS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

052130 Issued in NY

Practice address

700 White Plains Rd Ste 20
Scarsdale, NY 10583-5013

Phone

(914) 713-2424

NPI assigned

Dec 17, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1104000843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD STE 20",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835013",
            "telephone_number": "914-713-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD STE 20",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835013",
            "telephone_number": "914-713-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSSOVA",
        "first_name": "VALENTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-17",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "052130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer K Ludwig
• Jayson Uylengco Lumague
• Thomas Edward Lundy, DMD
• Luxottica of America Inc. (Lenscrafters #710)
• Michele M. Lydon, M.P.T.
• M&D Welsh Associates Inc.
• Hong Yun Ma, MD
• Rosalind Macasil-Taylor
• Daniel Edwin Macdonald, DMD, MSD
• Jaime Macri, OTR/L

• Prosthodontics in Scarsdale, NY
• Providers in Scarsdale, NY by specialty
• Prosthodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.